Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stanford T Israelsen, MD

Individual provider Orthopaedic Surgery Physician · NPI 1093961179

Stanford T Israelsen, MD is an Orthopedic Surgery in Gillette, Wyoming. Graduated from Baylor College of Medicine in 2008, 18 years ago. Practices with Campbell County Hospital District, a 130-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
18
Trained at
Baylor College of Medicine
Licensed in
WY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

508 Stocktrail Ave Ste A
Gillette, WY 82716-3582
Phone: (307) 686-1413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 9750A (WY)

Record details

NPI number1093961179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2008
Last updated in NPPESAugust 13, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Campbell County Hospital District — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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